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Improving Asthma Outcomes
Session 300, February 15, 2019
Lindsay Neptune, Nurse Practitioner, Open Door Family Medical Centers
Denise Garcia Egan, Director of Clinical Business Intelligence, Open Door Family Medical Centers
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Lindsay Nepture, APRN, PPCNP-BC
Has no real or apparent conflicts of interest to report.
Denise Garcia Egan, MPH
Has no real or apparent conflicts of interest to report.
Conflict of Interest
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Overview of Open Door Family Medical Centers
Why focus on Asthma?
Visit Planning
Proactive Outreach
Measurement and Reporting
Outcomes
Questions
Agenda
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Identify tools for managing asthma and other chronic diseases
through EHR templates
Integrate reports for both visit planning and population health
management
Manage the dissemination and use of outcome data
Learning Objectives
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1985 Open Door Sleepy Hollow
1994 Open Door Foundation
1995 Open Door Port Chester
2003 School-Based Health Centers
2006 Open Door Mt. Kisco
2007 eClinicalWorks Implementation
2013 Open Door Brewster
2015 Mobile Dental Unit (K12)
Family Medicine Residency Program
2016 Relevant adoption
2017 Open Door Mamaroneck
2018 Brand new Open Door Sleepy Hollow
Dental Residency Program
Open Door was founded as a free clinic in 1972
to address health inequities in Ossining.
History of Open Door
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Asthma
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Asthma Prevalence
0%
2%
4%
6%
8%
10%
12%
14%
16%
2016
Open Door
New York State
Open Door's School-
Based Health Centers
Note: Open Door and
NYS stats represent
all ages, SBHC are
5 to 18-year-olds.
Data Source: HRSA UDS National Health Center Data, 2016
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School-Based Health Center Asthma Metrics
Data Sources: Open Door Family Medical Centers; Port Chester School District, Westchester County Sparks Data 2006-20
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Plan and Measurement Metrics
Reduce missed school days by
50%.
Increase the documented levels of
asthma severity to 80%.
Increase the percentage of
persistent asthmatics prescribed
inhaled corticosteroids to 90%.
Increase updated Asthma Action
Plans to 100%.
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Tools to Improve Care
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Our Care Model
eClinical Works
Relevant Data Warehouse,
Dashboards and Asthma
Registry
Clinical Information
Systems
Reminder Calls
Visit Planning Reports
Decision Support
Templates
Order Set
Delivery System
Design
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Visit Planning
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Visit Planning Workflow
VP
Report
Reviewed before morning and afternoon
sessions by care team
Alerts team to gaps in care
Team
Huddles
Initiated by care team to review patient
needs
Support team is empowered through
standing orders
Improve
Care and
Efficiency
Support team can care for patient before
clinician enters the room
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Visit Planning Report
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Asthma Visit Templates
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Asthma Visit Templates
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Asthma Action Plan
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Asthma Education Embedded in eCW
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Proactive Outreach
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Reports and Registries
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Quality Measure Dashboards
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Pay For Performance:
Provider Report Cards
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SBHC Asthma Metrics
Data Source: Open Door Family Medical Centers, Port Chester School District
*Westchester County age 0-17 ED visit data 2010-2012 SPARCS data as of Nov 2013
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Control Line
Upper Control Line
Lower Control Line
0
10
20
30
40
50
60
70
80
90
100
Percent Compliant
Asthma Registry Implementation
Relevant Quality Measures
SBHC Asthma Action Plans
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Contact Information:
Lindsay Neptune, NP
Phone: 914-502-9656
Email: lneptune@odfmc.org
Denise Garcia Egan, MPH
Phone: 914-502-1329
Email: degan@odfmc.org
Please complete online session evaluation
Questions